Customer Loyalty Program - Icon Parking Systems

Enrollment Form

All fields marked with (*) are mandatory.

Current Monthly Garage: *

Tenant / Car #: *

7 Digit Account Number:

(See invoice)

Monthly Applicant: *

(Name)

Home Address:

Apt.#:

City:

State:

Zip:

Home Phone:

Business Phone:

Cell Phone:

Email Address: *

I hereby agree to pay a one time $5 non-refundable card activation fee which will be reflected in my next invoice for monthly parking.

The ICON Preferred Customer Card is to be used solely by the monthly applicant; is not valid at the parking facility where you maintain a monthly parking account; cannot be combined with any other discount offers or coupons; and must be presented to the cashier at the time of payment. Payment must be made by valid credit card (visa, mc, amex) to receive the 50% discount. Cash payments will not be accepted.

Offer subject to change.